Organization
PUBLIC SQUARE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIEGO GOMEZ (OWNER)
(904) 531-4556
Entity
Organization
Contact information
Practice address
2736 UNIVERSITY BLVD W STE 2, JACKSONVILLE, FL 32217-2170
(904) 531-4556
Mailing address
2736 UNIVERSITY BLVD W STE 2, JACKSONVILLE, FL 32217-2170
(904) 531-4556
(904) 376-7718
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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